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tv   BOS Budget and Finance Federal Select Committee 42017  SFGTV  April 20, 2017 9:00pm-11:01pm PDT

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comment on this item. >> any public comment on this item? come on up to the podium and hear a soft chime no public comment is closed. >> all right. please item 3 oh, wait i need a motion i need a motion. >> to file the hearing. >> motion and seconded by supervisor yee and we'll take that without objection. thank you very much next item, please. >> item no. 3 - hearing to receive a budget update from the human services agency for fys 2017-2018 and 2018-2019, and. >> all right. the second work is the harder workingman in san francisco jeff topped you a little bit but in terms incredibly important work you and your team are doing so welcome back to the budget & finance committee committee. >> nice to see you all as well i'm fairly familiar with the work that jeff is doing.
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>> i know you are. >> members of the board executive director. >> sfgovtv we're ready for you on the laptop. >> not quite we've still got the hamster on the whole i, start you have the slides in front of you. >> a high-level mission for the agency first of all, as you may know the human services agency it come phrased of 3 the department of aging & adult services, the drs and the office of early care and education we do this because the administrator arm of human services supports all 3 departments we do that to create the efficiency and save money i know you appreciate so the vision we have for the city that san francisco is a diverse community children and youth and deputies and seniors have thriving and safe more specifically the mission of
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the agency to promote the wellness and self-sufficiency amongst the community in the city who do we serve we serve san franciscans disadvantaged so disadvantaged in a number of ways mostly economically disadvantaged in crisis or unable to be a part of the community we do this through income support programs and direct benefits other supportive services that are childcare and employment replacement services to promote the self-sufficiencies and protect services to shield against abuse child services or child abuse as well as seniors and then with family and community building services to help the individuals to reach tare potential was this reflects the contract with the community-based partners a
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number of programs to help you facilitate what i talked about but 3 broad program goals that cut across all of where we administer that is to provide the safety net to low income persons not able to support themselves the second is promoting self-sufsz within the working four seniors and the disabled and the third reflects the protection of the agency to preserve and protect the children and adults and older adults and adults with disabilities so a few slides that give you an understanding of the funding of the agency so this shows you a breakdown of the 3 departments as well as the mist arm of hsa, hsa is half and the human services mostly entitlement programs but the protection of children department of aging & adult services, is about thirty
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percent and office of early care we'll be presenting next week i believe is 10 percent the program support the admin is 10 percent that is the contract support and it, personnel, fiscal and contracting and the like so the program groups further and later in any presentation i'll talk specifically about most of programs but a high level the programs we administer i ask this is primarily a provider for wages to provide in-home care core for people with disabilities and older adults family and children services the child welfare is the next largest and i'm not going to walk you through but i'll go into further detail in a minute pr the funding source is i think
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more important than ever given i call it silly hall. the transition in d.c. with the new administration in terms of federal money and who this is legitimately at risk this is the state piece that is 14 percent but two sections named realignment one and two are detected revenue streams that fund sp several of our programs one ask the list of entitlements i h ss and apps the department of aging & adult services so, now into the into the program i'll start with department of children, youth close to 20 percent of our budget known as child welfare
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services protects children if abuse and neglect and finding places for people to see farther into the reunification with their parents or adoptions or emaciation from our services to dulled hood the graphic you see that from the overarching goal of child welfare keeping children out of foster care or reunite them with their parentheses as soon as possible with the decline since 2001 we were at peak of 2001 or 2 of 23 hundred kids in foster care now down to 9 hundreds that is good we're doing nice work in terms of keeping kids safe at the home with the services we provide and moving kids out to adoption or
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on the programs i should mention that the number of kids that are under 18 in foster care is really about 6 hundred and 50 a number years ago through assembly bill 12 foster care was extended to kids up to age 22 before that when the kids were 18 there were no longer in the system but now through ab that is a positive piece of legislation we can keep children in their care and support them up to age 22 that number would be lower. >> what we're doing now in child welfare the biggest reform or change we're grappling with as the continued care reform we call ccr that of those passed through assembly bill 403 it altercates to do really supervisor yee he know you know
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foster care that is the most significant reform in child welfare in the past two decades we'll continue it does is reduce the counties reliance on group care and move the kids at all levels of needs more immediately into family based places and away from group care i think study after study shows the outcomes for people in group care are much worse than kids with families and closer to their communities so what do you mean that monies we can increase the number of fosters homes in the city and have state funding and pursuing aggressive paths to increasing those numbers new online apps for the foster parents and
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approving them and providing them if for their license we're also beginning to talk with the providers about the campaign to help the lgbt communities and the fosters parents and or aldolph parents a few other they require the family team at every point where it effects the child replacement or some other significant change in the child's life that change shall be delivered and decided with the social working or mental health working or sometimes the birth parent to make sure it is in the best interest the child's that is a change in the process in order to move towards not just licensing for foster being a foster parent getting the
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approve at the same time of being an adoptive parent makes that easier inform navigate and if we want to put children are families mental health support with the kids kids that are removed from their parents suffered trauma because they were abused or neglected and suffer a secondary trauma when their moved from their parents and trying to place the kids without accompanying mental health support generally will not work kids go from placement to placement we're fortunate to have a partnership with public health and with the jointly or joint mental ascertainment to
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have the mental health plans for every child based on their needs on the county assistance program the cash assistance program for dulls with no kids under 18 where it provides cash services and housing assistance and emergency shelter for the low income adults with no independence the boards approved a package of reforms to the cap program and the reforms were probably encompass 70 packages at the highest level for the reforms making it easier for clinics to assess benefits and stay on them the system before the reforms required a lot of paperwork and parts in the process is on reduce application process with two invites as to the office and then as a result a lot of
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program - by eliminating those unnecessary appointments and paperwork we're hoping that clients will stay on track that allows us to provide the employment and supportive services to hopefully permanently end their need to rely on public assistance for support along with that we simplified internally to make that easier four our workforce to manage their caseloads. >> the next is the cal works, cal works is the welfare to work program for parents that are low income with kids in 1885 percent are single parents single moms we've gone through the state law i listed some of them here
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what we're trying to do is better equip our staff with the system we fund in our community to treat the whole family meaning to attempt to move the family towards self-sufficiency and the calworks strategy to identify the families not engaged in work participation or early he removal activities identify them and bring them into the impediment process every family that is a comprehensive tool that is a robust statewide state standard provisional that takes several hours to identify strengths and barriers focusing on the full case participation we want everyone to say participating in the education or employment or dealing with other sponsors
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domestic violence and school truancy for their kids or other issues and continuing the successful program our subsidized corner of our strategy for families who are on public assistance and then i'm mentioning the whole family working with the whole family and mention a couple one the family stabilization program targets for families for some reason are not ready to enter the workforce we move them both the family stabilization program they can focus 100 percent of their time on remediating barriers to return to work and part of that the housing support a state funded housing program for cal works we served over one hundred and 25 families giving permanent homes to families
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so on to medicare and calfresh which on the onset of passage of the affordable health care act we saw the opportunity it link affordable health care act with the food innovation supervisor cohen. >> thank you supervisor yee has a quick question. >> can you back up a little bit to the your cal works and office of economic workforce development development could have asked that question decades ago the idea that was implemented and initiated was eventually we'll see a huge reduction of people that will be on this assistance and haven't followed it for a long time more curiosity than. >> sure. >> has it really done that or are we flat. >> it has supervisor when we
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know you remember in 1997 our welfare task force 13 thousand 5 hundred families an cal works when we started that task force you know called a f d c we're under 4000. >> how many. >> 4000. >> and it's been a steady decline since we began the cal works there are a number of reasons certainly you can't just say because they all found jobs and self-sufficient and that's not correct we've literally placed thousands of families into jobs and you know we have fewer families in san francisco so part of that case decline reflects the the graphic of san francisco with fewer families one of the - there's a lot of criticism in the past in the mid
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70's and were fortunate in california unlike states to have a state legislation that valued the opportunities that the new program for the and then that was fill childcare support full support for employment activities and support of services that county design their own podiums in board perimeters you've heard our program was robust and if you look at the funding if the stated under calworks we receive the highest lovely of state funding per capita in the amount of capital per family because back in the late 70's we recognized we wanted a revolt program not just a work program that kicks families off aids but that allowed us to design the work plan that met their needs and moved towards self-sufficiency.
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>> you want to continue. >> sure. >> as i was saying the passage of affordable health care act give us the opportunity to pled not guilty a. >> cal works and medi-cal having a single worker or single online popularity manage for both programs in if an individual family applies for medi-cal and not on cal works calfresh they're not having happy holidays we did this for a couple of reasons one customer service we did want adults to go to two building with the eligibility as similar and second the administration program we can manage a significant there in the medi-cal you see in front of you with not having to expand the workforce in portion
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to the caseload we added easy i think 80 boiblth goikt for workers we doubled the workforce but 20 there is that steep caseload is one hundred due to the affordable health care act and the fact we enrolled our enforcement reached about one hundred thousand. >> i have a quick question in your presentation particularly talking about the medi-cal caseload did evicting the repeal that failed in your presentation give a little bit of breath. >> about the future press pecks. >> sorry to interrupt i'll be happy to with medi-cal i'm finish now, one in four san
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franciscans receive medi-cal we pretty much have provided medi-cal rgz almost saturated the lgbt population for medi-cal if you're eligible for medi-cal your probably receiving it with the department of public health and assess points to get on medi-cal and really the aggressive outreach we did and i wanted to - included mentioned here about goikt for medi-cal for the immigrants communities because there is so many dialogue coming out of washington, d.c. on the immigration status so important to note that local immigrants or legal non-citizens are eligible you don't have a be a u.s. citizen to receive the medi-cal then undocumented citizens can receive prenatalal care even if your undocumented because of the
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passage the state law undocumented kids are eligible for medi-cal it is important to get there out because of negative rhetoric coming out have been d.c. to enforce the equity of the programs for the immigrant communities so, now calfresh and similar to medi-cal we've seen a significant increase in calfresh which we see as a positive not 100 percent freld funded but aggressive in project sponsors with medi-cal but adding online popularity with the online applications we do onsite benefits at our litigation centers and community-based organizations zuckerberg san francisco general hospital and do outreach vents it has 6
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hundred applications each month and now we're in partnering with a contractor that actually minds our one and thirty thousand medi-cal caseload people not on calfresh and identified p them and reach out through a phone call or mailers to get them on calfresh. >> okay. i'll move on if you can go to slide 15 i want to talk about federal funding to hsa and some of the proposals that could affect our state funding as you can see you know slide earlier in my presentation about a more a third of our budget through federal funds 97 percent of that federal funds passes in the state department of healthcare and allocated it to but community unlike the
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consideration guatemala's you permitted for or grants through the feds neither here nor there all of it is tied to a federal program authorized through separate piece of legislation w calfresh versus and 40 and foster care or a formula i raise that because obviously i get the question a lot from the public administration holds back the will money because of nature of the funding through the state and making decisions who gets the dollars and the federal entitlement i don't see us as effected this is a view that is shared by the state of california there's has to be an act of congress to restrict the funding or prohibit the funding
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to sanctuary cities and the other specific to california we're talking about sanctuary cities and every other community in san francisco there are multiple cities some maybe sanctuary cities and la is probably the best example motoristly how will the state of california pairs out which cities and counties get the money that is an insanely process i don't see happening so my message to staff and our community partners and the public our funding is skewer irrespective of trump administration does with respect to the sanctuary city and their used for contracting the services and in some cases not in the budgeted we have 200 and $87 million from the government we have couple hundred million
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dollars of federal money it goes to pay i h ss and another amount that go to clients through our calfresh that is off budget if you say how much federal dollars does hsa draw down in the neighborhoods of 6 to seven hundred millions so as medi-cal i see it playing out you noted it failed which is obviously great news the worry i have is that under the guise of medicaid in this case medi-cal the government looks at each state and says you'll get a fixed amount of dollars to admin
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medi-cal you can keep the expansion under the affordable health care act users the fixed mop up amount of federal dollars that is a affixed amount of money and circling the schools rise the state is on the hook for 100 percent of that point of privilege in the formula to decide how much funding u funding through a block grant done on per capita experiencing of medicaid how much is for each person california raised out of 47 if california out of capacity will be at a disadvantage will receive a low number. >> why? because of the reimbursement rates in california with allow low. >> how do we get that increased. >> it's a state decision.
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>> it resolves through years of you remember the years of $30 billion deficit in sacramento. >> supervisor yee remembers. >> my apologies i'm aging myself one of the strategies to reduce this was to reduce the provider - based on what we provide medically a physical examine than a tooth extraction and medicaid fails short of costs. >> it is 60 percent of every dollar $0.60 reimbursed. >> it is complicated under the affordable health care act that is actually world combrurmd by the feds that that slowly decreases to 90 percent so in the number of years people with the affordable health care act the state pays 10 percent on
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the benefits side and the feds will pay 90 percent the state will be on the hook for a doubt if we're in a block grant that goes away the feds say here's our money that is my big concern and politically sort of the both back of losing their medi-cal the feds can say it is a state decision. >> it would be a state issue the governor has released a draft version of his budget how do we stand to win or lose in his budget. >> that's a good segue into the next slide the governor releases his budget in january, i should say one more thing about medi-cal in terms of flow of money in support of medicaid expansion and as well as covered california is $7 billion.
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>> is that right seems like more than that. >> anyway i'll get the next number now to the state budget. >> so the gofrm governor in january proposed one huge change that will hurt but us to the tune of $7 million the change you've been deliciously is about the change from the non- supportive services program and this is complex but the long and short end because of proposed cause shift the result in county costs if the proposal were to go through as is a $43 million to us now what it the proposal the continental i hss consists of a fixed county share of costs so it is called a maintenance every
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effort we pay a fixed amount of money irrespective of cold case and the cost increases and the state and fess pick up the rest of hair that happened the moe structure was formed in fiscal year 1112 shins then caseloads have increased the second is the minimum wage happened locally and also at the state and that administrative costs adopt the costs of employees benefits, etc. so that was in 2011, telephone fast forward to 2017, of years of costs and the governor is saying you counties no longer pay a fixed amount a share of the costs and the survey is thirty percent so you now calculate that on the total cost of the city you pay thirty
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percent the increase is 43 million so what are we doing about that a c fact led workshop of c a o workers with department of finance to get the deal before the revised they're hoping that happens we had a proposal that we liked would have cost counties very little that the governor's office didn't go for we're xhavnl in the negotiation the city lobbyists are actively engaged as i and my staphylcontinue to keep you posted and with the mayors director what if scenarios and the budget reserve
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to might as much as possible to the $43 million cost shifts the other thing that alarming the recalculation of the funding for cal works based on caseload decline concurring cross the state one and $80 million cut statewide our share is 6 and a half millions based on caseload decline is sort of - basing the funding on the cold case formula is difficult it assumes our programs are that fluid if our caseload drops by one thousand we can go 25 workers or case workers as you know this is not the way the county government works having to respond to throw budget cuts 6 and a half million
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dollars cuts is very did the that's why that is hopefully part of the state budget reserve and going to budget drills in cal works if this happens where we're religious services and our staff and working through those scenarios now. >> okay. >> that's it for the drs i know the department of aging & adult services is a separate agenda item if you have questions for the dcyf. >> i certainly got my questions i see no other names we'll go to public comment. ladies and gentlemen, public comment is open if you want to comment on item 3 seeing none, public comment is closed. thank you very much. >> can i amend an earlier statement around the federal money for the medi-cal $15 billion. >> not 7.
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>> 15. >> which is civil grand jury a number the state can't make up if the feds withdraw their support. >> colleagues is there - we can file this i'll entertain a motion. >> i'll go ahead and make a motion to file in hearing and seconded by supervisor tang we'll take that without objection. thank you very much next item, please. >> >> item no. 4 - hearing to receive a budget update from the department of aging and adult services for fys 2017-2018 and 2018-2019, and requesting the department of aging and adult services to report. >> this is great we'll hear from mcfadden. >> good afternoon. sherren making fatten executive director that the department of aging & adult services and we're providing services for are older adults and adults with disabilities making sure that people can thrive in communities as long as possible and appropriate we have 4 divisions
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in cossie want to highlighted some of the things we're working on in the division the biggest division in in-home care supportive services and services 24 people this afternoons out to 2200 - the clients receive 22 hours of support in the private market if people paid for if it it would be two-year budget hundred dollars a month with low income that is impossible an important program that helps to keep people another home the majority of our clients are seniors 74 percent and most of seniors are chinese and many bilingual china speaking of the adults with disabilities not seniors most of them are
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african-american or white about a their about 20 percent provider and 6 it percent are caring for relatives did you want child caring for a parent we have a couple of challenges trent alluded to one proposed by the governor but in addition we've seen a challenge to in-home care supportive services the ability to retain workers i think that i've talked with most is of with the issue of workforce in older adults and adults with disabilities but in-home care is dire right now and one of the reasons that with the increase in minimum wage there is kind of a compression between what us hss workers with
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working with the difficult clients and the minimum wage everyone knows how hard it is to give in-home care especially, if not our relatives and even if you work with our relatives. >> it is actually you're right i personally know that so one of the things that is happening you know people can get a different kind of job and make the same pay poem bridge one of our contracts that provides what we call contract mode of in-home care supportive services serves 5 percent of overall i hss population we rely on it to provide the services for people that can't manage their own worker and what home bridge is saying there is a real loss of their workforce they're having a hard time with a workforce
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retention and keeping people beyond 3 months losing half their workers 3 months on the job their butt in hard work and people leave on o after 3 months we've been working with the contractor and thought that would be a good do to think about pier wage in the budget we've proposed a tiered wage pilot in the pilot would serve one and 50 clients i lost my notes serve one hundred and fifty and what we will provide is extra training for the workers that will be doing this work and they'll being able to make a disclose or not disclose more per hour in the first year and the second year adding another explore and look at the
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metric go are we retaining workers that way and other ideas we have to think about workers retention and thinking about workforce down the line many years from anyhow and how to work with the local colleges and universities and other people that developing that workforce but wanted to do this now to see if it works. >> supervisor yee has a question. >> a quick one in regards to the additional exploring and the second year the step back dollar is that on - is this based upon wherever acquits today or groups when the minimum wage goes up. >> the minimum wage changes we're talking about $2 above
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what the minimum wage is now i guess your skewing talking about looking at the first dollar and extra training and seeing if this works in the first year with worker retentions in the pilot. >> one of the other things we realize is that we have this pilot we need to also have a conversation with in-home care supportive services about workforce retention and having conversations with the state level about this this is not the only answer we're in a dire situation right now with that particular contract and one of the things we see when people don't get served they end up in
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the emergency room or on the street if they're not getting the services potentially the harder served population. >> next. >> the second one is protective services department of aging & adult services other programs and specifically said to highlight the numbers this division supports 65 hundred people of our city's most vulnerable citizens and people with disabilities and the adult protective services serves 48 hundred people and focusing on adult protective services on average 6 hundred and 50 people are that neglected each month a 26 percent increase from 4 years ago when the average was closer to 4 hundred and a special units for the neglect and eviction
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prevention so negotiation we'll know whether or not it is effective but think that will be obviously and then switch over to our longer-term operation with the community funds and quality assurance and rental demonstration project as well as other projects we're working on i just want to highlighted the clinical quality assurance we implemented thank to the mayor and the board to get that into our budget we've grown that program and served 5 hundred clients annually and basically that unit is made up of indoors and social workers that are able to assist adult protective services and in-home care supportive services staff when they notice someone is in trouble at home and maybe needs
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some different ascertainment deeper than what our social workers do it is help and next the community services that is office of angling and the community and is dos clinical resource hub our intact at sue goes. >> sorry embed. >> okay. >> i thought you have a question go to the next slide the biggest thing in the community services divisions is really focusing on the sdgd a voter initiative prop i for adults with disabilities the baseline is $44 million which includes $6 million of spending and it also the legislation also
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requires an comboethd compromised of 11 members and provide for service providers and of the oversight committee came together in february all the appointees came together and started to meet and working hard for awhile meeting weekly and asking for lots of information from the departments and looking at demographics and equity and i've worked together to come up with an allocation fund for the sdgd and i know one of the things we have to release rerelease as a department that we're using our current needs assessment that is reels great information very well put together a lot of democrat graphic information but haven't had the chance to put together in the legislation to the
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community needs assessment and some gap in equity so we'll be embarking on this process the negotiation and the following year we'll be able to do a really good allocation plan our cycle every four years like the children's 00 plan we want to get out the $6 million rather than hold that process we want to get it out we're using the data and we're also thinking will parity and looking some of the populations that we think we've been not serving quite as well, one the populations that younger adults with disabilities and other population is veterans and then 0 we're mindful of the fact to continue to roll out the task force the lgbt task force remedies we have a couple of proposals ♪
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allocation plantar we broke down the allocation into different buckets we have basically using the same program bucket program descriptions in buckets we have in future years when we have a need he assessment we may be branch into the other areas but keep the current programming we have and put that funding into those specific programs we fund so just supporting with the access one actually i'll start with caregiver this is highlighted in our needs assessment and we do put money both caregiver support but a
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xhoont issue for caregivers we get a lot of calls and requests for help one of the things we are asked for to help where respite, of course, as i mentioned caregivering is a hard job we put the money in the allocation plan phenomenon respite and a database that a good resource to point caregivers to that resource have them putting if their information and get ohio the next is assess and access is one of the facility issues we think about senior isolation and adults with disabilities and make sure they they have services where they can come out and have socialization one of
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the areas we are enhancing the community network that includes the senior centers and adults with disabilities that are kind of social social experience those kinds of things we put quite a bit of funding in the allocation for that and one of the things asking people to think how do we reach out to population we're not currently serve and see our centers in different ways adding a new program within the hours and the current center and say okay. we'll reach new populations maybe people that don't get around easier or have after work hours things like that to reach other sponsors people we are also looking at transportation transportation is a big area of need and trying to help people goat get out to the services they need we're looking
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to add money both that we're also looking at enhancing the liveable services for the adults with disabilities we have legal services for older adults with naturalization and immigration issues and housing and eviction we could a have parity for younger adults with disabilities we are looking to increase the services and add some legal services to them and also for lgbt older adults looking for help are financial planning and then housing support we do have we have embarked on a housing subsidies program we did in a couple of years with support from the mayor and support from add back from the board and we're looking to maybe increase that a bit in the allocation plan so we can give housing subsidies inform
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more people and then innovation and wellness one of the things we're looking serving people that are ill with our food programs so we're looking at asking our providers to look at how does food help people improve their health and good models some are home delivered for homebound and people can come in and get informed but focusing on the populations prediabetic or people living is hiv, etc. putting negative impact money for that and some of the general areas but this is the $6 million is already in the budget for this year how do we spend it in this year and get the money out the door for the needs ascertainment
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and looking at gaps and issues in the city and in the future >> is if it. >> supervisor sheehy has a few remarks. >> can you speak with the long terms people with hiv and seniors are aids. >> one of the one thing that came to our attention with the council is focusing on ada aging they've helped to educate the people aging with hiv and the differences for people aging with hiv from the regular population and so i think what we've started to do is incorporate that population into all of the regular programming we do start talking about how
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are we serving this population are there special programs we need to do or make sure we're doing better outreach with the community we've been working closely with the chair of that work group and talking about how to serve the community better one of the things that the workshop is proposed through the long term coordinating council this model awhile much of it actually is more health related will probably fit more with the department of health there are pieces of it that are social services that fit well within the dignity fund allocations great opportunities to provide funding for people living with hiv with the allocation. >> well, i guess i do see
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healthcare as assessing primary care has been an important hub this population but that is only for people frankly within the dpws system there are private partners with casing are you integrating kaiser the pieces are not meshed people are isolated and not well-connected and surprised in talking with people like kaiser what is the system around just in general for people for populations button specific with people are hiv. >> i think yes. i think one of the things that we know we serve a lot of people that hiv the work group brings to us recommendation we can certainly implement those i personally
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have not talked with kaiser and can find out more about that because obviously have a lot of parts of our system that don't coordinate and how to do that better so we can work with the working group to get better information around that absolutely. >> one important piece people don't have to go to a lot of places for service. >> so when i talked about earlier about our dos resource hub one the things we can do to make sure that our staff are aware the resources and in the community and not sure that is something we can work on to make sure they're trained it in so anytime someone comes into our door we know exactly where to point people. >> the largest need i keep on hearing a his or her i know that
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the people provide housing i want to at to the section 8 voucher a senior are hiv i'm wondering who is responsible for making that contact and is someone should be housed is there anybody that organizing with the lgbt centers and the long term survivor to help them participate in the housing lotteries do make to to a lot of people and a lot of people in the communities are getting housing through the lottery and affordable housing units so any thought especially for the seniors that has to be daunting with people with disabilities trying to assess housing through the lottery system. >> it is daunting we work with our clients all the time whether their lgbt or people with
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disabilities or whatever you know whatever they brick to the table in terms of lgbt workers they worked on this and worked on you know with our providers like openhouse the lgbt center, etc. on how we best service that population and make sure they have a voice and that they have role get the help they need to get into the lottery systems it is hard work i know we have a few providers that spent hours i mean supervisor cohen knows kathy davis spent hours and hours to get into the bayview housing in the senior center and she's training other sponsors providers to serve other sponsors populations how to do that it is a huge, huge amount of work and it takes a lot of follow-up lots and lots of follow-up and lots and lots of
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hours. >> i guess will that happen for the lgbt community and people are hiv, you know, or aging or is this something that is coming down the road. >> people are working on it to i don't know how coordinate but openhouse the two representatives if openhouse here have worked very, very hard at laguna for the reason that lgbt people got into that site if they hadn't put that work into that the result we have been different i don't want to speak for the organizations but having talked to them they very much see that as a role of their organization. >> is the budget smlg something you'll be supporting that that's one way or another what i'm looking no, it is amazing work with the new
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facility but i heard coming out of that that was a high blood pressure clinic effort was that a one-off or capacity built into the system to make sure they took place not just for lgbt seniors because there is a gym with people with hiv ct is for both the populations i can go into why the lgbt is important for housing for the seniors and also people with hiv the care system. >> so the way it is built spot housing we have housing advocacy a part of the offices on the aging budgeted and continue to fund that is not an increase this year but something we
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certainly fund and have staffing when you're talking about i think there is a greater conversation that needs to happen departmentally how that works and working in in conjunction with the community partners how do we make sure that the specific population you know are successful in getting housing i think that because we come at it formal different angles the housing department is labor day it from one angle we talk about it negligence of our budget that is where is sites in the housing xoopt. >> maybe think about the departments we talked about young people who are homeless and half of them are lgbtq and we have this population of lgbt aging and also have the survivor generation so there is poise i guess i want to make sure that we have a phone call on the
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population and we have. >> if you're talking about having if in a more formal way we can talk about that but have love conversations about that. >> i'd like to know what the need andable be able to know how many lgbt kids are out there like to quantify the need and figure out where the work should be done i just you know we hear about people that are pushed out of town if you're living in with hiv and pushed out of town this is you can lose what foe people folks actually know those days there is so many isolation but it is critical to - if you
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leave town it is difficult to rebuild that. >> i agree i agree. >> thank you very much we're going to go to public comment. ladies and gentlemen, if you want to address item no. 9 - the floor is yours. >> i have mine written. >> just talk about people with hiv 84 percent of people over the age of 40 means it will be larger i think 62 percent are over the age of 40 combining men and women and speaking to some of the things said i'm actually, i co-chair the working group we're having a meeting to aid the issues to supervisor sheehy rays we'll be talking about dos we are also i think we're hoping you'll support the suggestions
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the comboekt from the dignity fund we see ways to force not force encourage hiv providers and mainstream providers to work together the way it came together it looks like there are ways we can look at decreasing connections and collaboration i think the center is along with the survivor group for people over the age ever 60 we're looking those collaborations i'm going into everything but for me it has been nice to be included in the dignity fund from the beginning a long term survivor we were not early on and working closely and received support from the staff and the housing working group that will also long term care coincidental that and issues i don't know i'm nervous i've been here three or
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four times my hands are shaking i'm going to hand over my comments. >> thank you very much. >> next speaker, please. >> good afternoon for the record i'm jacqueline the executive director of in essence village san francisco and since some of you have new i wanted to make you aware there are villages we're designed to help the seniors age in place our village in the northeast part of city has three hundred members and 200 are receiving agree subsidized marin and the majority of those people from the asian community and we've provided about 12 hundred hours of direct service to seniors for thing they'll not get help with this year alone and hosted cultural and events we're
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filling a need for people that don't qualify for things they're not given as a gentle rule the city provides for them and doing our part to make this a world-class city for seniors. >> for your presentation. >> next speaker, please. >> i'm karen the executive director of openhouse thank you, supervisors for hearing from us today and i just want to echo a couple of issues that were brought up in the decision around dos first of all, we're appreciative of the work that dos does and the community-based organizations really strong and amazing that is great to work with them and echo it is not enough for the oldest adults to be addressed to the dros 0 program and budget but need to been the budgets
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we've heard from for example, we know that 50 percent of people in shelters over the age of 50 we can't be thinking of older adults and sitting over in a specialized department we need to think about their niece together particularly true when you're looking at go lgbt seniors because he knew they're facing not just the challenges of aging but facing a lifetime of discrimination it that creates the barrier to assessing the services that is a powerful thing so i think we have to think about that and i don't think we have to choose older people over younger the older people have the resources i don't think we're choosing one over another but thinking about those things together and around cal the openhouse what as sixth effort to get 70 lgbt seniors sweet
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spots housing that's why green but our housing assistants is seeing and need beyond that that the funding not necessarily going forward we're going to have to think about the housing options so thank you for your time and energy we appreciate it. >> thank you for work. >> is there any public comment that wants to speak. >> hi, i'm a longer survive. >> thank you to the people tom nolan, and openhouse the incredible work for the longest survivors and acknowledge supervisor sheehy and the incredible wisdom of choosing him and bringing him on the board of supervisors i can't plan what is the only marginalized community that has been forgotten felt like hiv was left behind with the oldest
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folks that built this city in our mind and over the course of this epidemic and when supervisor sheehy was appointed this feeling of oh, my god we are going to be sown and heard over and over again throughout the meeting we want to say we know what is it like to have an ally it is important and critical but critical as a marginalized community to have the in place at the table to know from our heart and from our own personal externals what a community needs as a queer person and a person that is amp and a person with hiv there are such personal imitates niece i want to say
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thank you. thank you to everybody ♪ room for the work you're doing it is incredible thank you >> thank you any other speakers. >> all right. seeing none, public comment is closed. thank you. is there a motion for this hearing. >> i'll make a motion to file the hearing. >> seconded by supervisor sheehy and we'll take that without objection. is madam clerk, is there any additional business to come before this body? >> there's no further business. >> all right. we're adjourned
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>> at the end to interfere with the equipment in the room and please join me in the pledge of allegiance. stands, one nation under god, indivisible, with liberty and justice for all. >> commissioner president turman i'd like to call roll. >> commissioner president turman commissioner mazzuco commissioner marshall commissioner dejesus excused commissioner melara cosi